{include file=member.header.html}
<div class="deposit margin10">
	<div class="deposit-withdraw-confirm">
		<div class="notice-word">
			<p>向平台商提交提现申请，审核通过之后，平台将向您提交的银行卡汇款，请确保您的银行卡信息正确</p>
		</div>
		<form class="J_AjaxForm" method="post" id="deposit-withdraw-confirm">
			<div class="title"> 确认提现信息 </div>
			<div class="form">
				<div class="confirm-info">
					<dl class="clearfix">
						<dt class="mb10">银行卡信息：</dt>
						<dd> {$bank.account_name} {$bank.bank_name}({$bank.num}) </dd>
					</dl>
					<dl class="clearfix">
						<dt>提现金额：</dt>
						<dd> <span class="money">{$widthdraw.total}</span> 元 
							<!--{if $widthdraw.fee}--> <span class="gray">（服务费：{$widthdraw.fee|price}，实际到账：{$widthdraw.money|price}）</span><!--{/if}--> 
						</dd>
					</dl>
					<div class="btn-metro"><a class="goback" href="{url app=deposit&amp;act=withdraw}">返回修改</a></div>
				</div>
				<!--{if $widthdraw.total gt $deposit_account.money}-->
				<div class="notice-word draw-notice-word">
					<p class="yellow">对不起！您的提现金额 <em class="price">{$widthdraw.total}</em> 大于您目前的账户余额<em class="price">{$deposit_account.money}</em>，请您减少提现金额。</p>
				</div>
				<!--{/if}-->
				<div class="confirm-form padding10">
					<dl class="clearfix">
						<dt>&nbsp;</dt>
						<dd>
							<input placeholder="支付密码" type="password" name="password" class="J_AjaxFormFields input-s1" value="" />
						</dd>
					</dl>
					<dl class="clearfix">
						<dt>&nbsp;</dt>
						<dd class="captcha">
							<input placeholder="{$lang.captcha}" type="text" name="captcha" class="J_AjaxFormFields input-s1 input-s1-w1" id="captcha1" />
							<a href="javascript:change_captcha($('#captcha'));" class="renewedly"><img id="captcha" src="{$real_site_url}/index.php?app=captcha&amp;{$random_number}" /></a> </dd>
					</dl>
					<dl class="clearfix">
						<dt>&nbsp;</dt>
						<dd class="submit">
							<input type="hidden" name="bid" class="J_AjaxFormFields" value="{$bank.bid}" />
							<input type="hidden" name="ret_url" class="J_AjaxFormSuccessRet J_AjaxFormFields" value="{url app=deposit}" />
							<input type="submit" class="J_AjaxFormSubmit btn-alipay" value="确认提现" {if $widthdraw.total gt $deposit_account.money} disabled="disabled" {/if}/>
						</dd>
					</dl>
				</div>
			</div>
		</form>
	</div>
</div>
{include file=footer.html} 